BRYAN J MULLOOLY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053852

License Status

CANCELLED

Business

Title

First Name

BRYAN

Middle

Last Name

MULLOOLY

Business Name

BRYAN J MULLOOLY MD

Original Issue Date

08/01/2007

Effective Date

08/01/2007

Expiration Date

07/31/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

07/31/2007